Abstract:
PURPOSE:To examine the effects of antibiotic prophylaxis on postoperative infection rate in patients with negative urine cultures undergoing ureteroscopy (URS). PATIENTS AND METHODS:Using the Clinical Research Office of the Endourological Society (CROES) URS Global Study database, patients with a negative baseline urine culture undergoing URS for ureteral stones (n=1141) or kidney stones (n=184) not receiving antibiotic prophylaxis were matched with those who were predefined by risk factors, including gender, American Society of Anesthesiologists (ASA) score, and ureteral stent placement. Patient characteristics, operative data, and postoperative outcomes, including the development of urinary tract infection (UTI) and fever, in the two groups were compared. RESULTS:Antibiotic prophylaxis use differed widely across participating countries (13%-100%). Differences were found between patients who did or did not receive antibiotic prophylaxis regarding the frequency of anticoagulation medication, previous treatment with URS, stone burden, previous presence of kidney stones, duration of current URS, and complications post-URS. The prevalence of fever and UTI was low (≤2.2%) and similar in both groups. Factors predictive of postoperative UTI or fever were female gender, Crohn's and cardiovascular disease, a high stone burden, and an ASA score of II or higher. CONCLUSIONS:In patients with a negative baseline urine culture undergoing URS for ureteral or renal stones, rates of postoperative UTI and fever were not reduced by preoperative antibiotic prophylaxis. Female gender and a high ASA score were specific risk factors for postoperative infection in this patient group.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Martov A,Gravas S,Etemadian M,Unsal A,Barusso G,D'Addessi A,Krambeck A,de la Rosette J,Clinical Research Office of the Endourological Society Ureteroscopy Study Group.doi
10.1089/end.2014.0470subject
Has Abstractpub_date
2015-02-01 00:00:00pages
171-80issue
2eissn
0892-7790issn
1557-900Xjournal_volume
29pub_type
杂志文章abstract:OBJECTIVE:To evaluate the effects on the potency of a bilateral cavernosal nerve-sparing approach to robot-assisted radical cystectomy (RARC) in a preoperatively potent population. PATIENTS AND METHODS:We conducted a retrospective review of 254 patients who underwent RARC between 2003 and 2012 at our single institutio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0315
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We developed minimal incision-assisted retroperitoneoscopic surgery (MARP) in an attempt to pursue optimized patient-related benefits. We evaluated the clinical value of MARP for upper urinary tract diseases compared with pure retroperitoneoscopic surgery (PRPS). PATIENTS AND METHODS:Between January 2003 an...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0480
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:Recent evidence would suggest a low rate of metabolic assessment in stone formers, even in those deemed as high risk. We wished to assess the attitudes and practice patterns of metabolic work up in North American members of the Endourological Society as part of the management of stone-forming patients. ME...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0207
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Published outcomes of pelvic lymph node dissection (PLND) during robot-assisted laparoscopic prostatectomy (RALP) demonstrate significant variability. The purpose of the study was to compare PLND outcomes in patients at risk for lymph node involvement (LNI) who were undergoing radical prostatecto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0266
更新日期:2012-06-01 00:00:00
abstract::Urologists have witnessed replacement of complex open surgical procedures with minimally invasive therapies over the past quarter century. Nothing personifies this more than an anatrophic nephrolithotomy in the management of kidney stones. The Boyce procedure, once the gold standard for staghorn calculi, is rarely per...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.1548
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Transurethral resection of the bladder (TURB), the first step in treatment of patients with urothelial bladder cancers, is limited by technicalities, surgeon skill, and random chance. When high-risk superficial diseases are discovered, a repeated TURB is indicated. We reviewed current literature ...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析,评审
doi:10.1089/end.2011.0081
更新日期:2011-11-01 00:00:00
abstract:AIM:To analyze the impact of slowing the shockwave delivery during extracorporeal shockwave lithotripsy (SWL) on the clinical patient outcome and the cost of delivering this service in a community practice. PATIENTS AND METHODS:The data from 1745 consecutive SWL procedures were analyzed at a freestanding surgery cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0656
更新日期:2010-09-01 00:00:00
abstract:PURPOSE:Large stone burden can be treated ureteroscopically, but the treatment often requires more than one procedure. Placement of a preoperative stent may theoretically enhance stone clearance by dilating the ureter to facilitate both access and stone removal. This study determines the impact of stent placement befor...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0400
更新日期:2011-05-01 00:00:00
abstract::To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析
doi:10.1089/end.2000.14.671
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To determine whether day-case surgery (DS) laparoscopic pyeloplasty (LP) is feasible and safe. PATIENTS AND METHODS:Thirty-two consecutive patients, planned for DS LP between March 2006 and January 2010 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0486
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bacterial colonization of indwelling ureteral stents may serve as a nidus for bacteriuria in operations where stents are manipulated. The predictive value of urine cultures in the assessment of stent colonization was examined in 65 patients with indwelling ureteral stents. PATIENTS AND METHODS:P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.735
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal artery aneurysm (RAA) is an infrequently seen disease entity but one with the potential for significant morbidity and mortality. Complications related to RAA include pain, hematuria, hypertension, and, rarely, rupture. Management is often based on symptomatology or, if symptoms are not pres...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0338
更新日期:2010-01-01 00:00:00
abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0279
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic radical nephrectomy (LRN) has benefits in terms of cosmesis, less postoperative pain, hospital stay, and early recovery when compared with open radical nephrectomy. One of the major points of concern of this surgery, especially in developing countries, is the additional cost because ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0235
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Since first being described in 1993, laparoscopic pyeloplasty has proven to be less morbid but equally as effective as open pyeloplasty. The technical complexity of the procedure, however, has made it difficult for many surgeons to adopt. The da Vinci robot-assisted laparoscopic pyeloplasty (RP) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0081
更新日期:2008-06-01 00:00:00
abstract::Although most caliceal diverticula are asymptomatic, they can be associated with pain, and concomitant calculi are common. When treatment is indicated, a variety of surgical options are available, although the management is often a challenge even to the most experienced surgeon. We review the indications, surgical opt...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2004.18.805
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Surgical outcomes depend on patient and disease-related factors, as well as the technical skill of the surgeon. Various distractions in the operating room (OR) environment have been shown to negatively impact a surgeon's performance. A survey was conducted with the objective to evaluate and chara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0704
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Nephroureterectomy (NU) with bladder cuff excision is the gold standard treatment for patients with upper urinary tract urothelial cancer. We report our initial experience with laparoendoscopic single-site plus one port (LESS POP) technique for NU and bladder cuff excision. PATIENTS AND METHODS:...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0735
更新日期:2014-06-01 00:00:00
abstract::Laparoscopic living-donor nephrectomy has decreased the disincentives to live renal donation with a risk of complications similar to that of open donor nephrectomy. We report a patient who developed chylous ascites after an otherwise-uneventful laparoscopic donor nephrectomy. On MEDLINE search, we could find only two ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.839
更新日期:2005-09-01 00:00:00
abstract:PURPOSE:We analyzed long-term results after percutaneous nephrolithotomy (PCNL) in patients with impaired renal function. PATIENTS AND METHODS:Nineteen (6.3%) of 300 patients who underwent PCNL had serum creatinine values above 1.4 mg/dL before surgery and were considered to have impaired renal function. Success rate ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0362
更新日期:2010-02-01 00:00:00
abstract::Using high-speed photography and acoustic emission measurements, we studied the dynamics of a transient cavitation bubble near a stone surface and the concomitant shockwaves generated during electrohydraulic lithotripsy (EHL). At each spark discharge, a vapor plasma and subsequently a cavitation bubble oscillating aro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.55
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:To examine the incidence of urinary tract infection (UTI) after flexible cystoscopy (FC) and determine whether prophylactic norfloxacin reduces this incidence compared with placebo. PATIENTS AND METHODS:A double-blind trial was performed, randomizing 234 patients to either 400 mg of norfloxacin or placebo prio...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2005.19.1006
更新日期:2005-10-01 00:00:00
abstract:: Introduction: How to quantify the impact of metabolic syndrome (MetS) on percutaneous nephrolithotomy (PCNL) is unclear. We aimed to evaluate the quantified effect of the number of MetS components on the outcome of PCNL. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0404
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:To assess the safety and efficacy of conversion from pure laparoscopy to hand-assisted laparoscopy to control mild-to-moderate bleeding during renal surgery. PATIENTS AND METHODS:Between August 2006 and August 2008, we performed 94 laparoscopic nephrectomies (44 partial and 50 radical). A total of three radica...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0321
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To assess the frequency of minimally invasive radical cystectomy (MIRC) conversion to open surgery, what factors influence conversion, whether or not the benefits of MIRC vs open radical cystectomy (ORC) persist after conversion, and compare ORC and MIRC outcomes. MATERIALS AND METHODS:We performed a retrosp...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0079
更新日期:2018-06-01 00:00:00
abstract::The indications, instrumentation, surgical technique, and complications of laparoendoscopic single-site radical nephrectomy (LESS-RN) are being described in detail in an attempt to familiarize urologists with this novel laparoscopic technique. Our initial experience of 30 consecutive cases of LESS-RN is reported. The ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0673
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To present the combination of laparoscopy and nephroscopy for the treatment of stones in pelvic ectopic kidneys. PATIENTS AND METHODS:The series included seven male and four female patients (mean age 43 +/- 9 years). Laparoscopy-assisted percutaneous nephrolithotomy (PCNL) was performed for caliceal stones in ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9930
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic pyeloplasty (LP) for the repair of ureteropelvic junction (UPJ) obstruction provides results similar to those of open pyeloplasty with less morbidity, but its use has been limited, as it requires advanced laparoscopic skills. Robotic computer-assisted pyeloplasty (RAP) has the potent...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.813
更新日期:2006-10-01 00:00:00
abstract:PURPOSE:To determine the effects on semen of extracorporeal shockwave lithotripsy for distal-ureteral stones. PATIENTS AND METHODS:We examined the semen of 62 patients 1 day before and 1 week and 3 months after SWL for distal-ureteral stones. The results were compared with those of 62 patients similarly treated for up...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.483
更新日期:2006-07-01 00:00:00
abstract::The coronavirus disease 2019 (COVID-19) pandemic has had a global impact on all aspects of health care, including surgical procedures. For urologists, it has affected and will continue to influence how we approach the care of patients preoperatively, intraoperatively, and postoperatively. A risk-benefit assessment of ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2020.0342
更新日期:2020-05-01 00:00:00